| NPI | 1124310354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEVINE Executive Director 310-390-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |